Evans, Corey Evont

Evans, Corey Evont is an individual health care provider with primary practice located at 4097 Trotters Way Drive , Snellville GA 30039. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Evans, Corey Evont can be contacted via phone (404) 449-7902.

Contact Information

Primary practice address
4097 Trotters Way Drive Snellville GA 30039
Phone: (404) 449-7902
Fax: (770) 979-7561
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP005335 Georgia

Profile Details

NPI number 1649349655
LBN Legal business name Evans, Corey Evont
Credentials M.A. CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2006
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649349655 NPPES
Georgia MEDICAID 00955028D

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